Document Detail

Compression-only cardiopulmonary resuscitation for bystanders and first responders.
MedLine Citation:
PMID:  17468557     Owner:  NLM     Status:  MEDLINE    
PURPOSE OF REVIEW: The current resuscitation guidelines consider ventilation and chest compression essential components of resuscitation and therefore only one methodology, standard cardiopulmonary resuscitation, is explicitly recommended for the treatment of both respiratory and cardiac arrests. Pathophysiological and experimental observations argue that this generalization results in suboptimal treatment for victims of cardiac arrest. RECENT FINDINGS: For more than a decade animal studies have demonstrated that assisted ventilation is not essential during the initial treatment of a fibrillatory arrest; but only in the last year have these results been confirmed in humans. These new observations come from a handful of systems utilizing cardiocerebral resuscitation in their prehospital resuscitation of adult victims of presumed cardiac arrest. They have all demonstrated a dramatic increase in survival. Recent data also indicate that survival is significantly increased when laypersons perform chest-compression-only cardiopulmonary resuscitation. SUMMARY: The current resuscitation guidelines regarding the prehospital treatment of victims of adult cardiac arrest should be modified to explicitly permit the use of continuous-chest-compression cardiopulmonary resuscitation.
Michael J Kellum
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current opinion in critical care     Volume:  13     ISSN:  1531-7072     ISO Abbreviation:  Curr Opin Crit Care     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-04-30     Completed Date:  2008-07-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9504454     Medline TA:  Curr Opin Crit Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  268-72     Citation Subset:  IM    
Rock and Walworth County Sudden Cardiac Death Project, Mercy Walworth Hospital and Clinic, Lake Geneva, Wisconsin, USA.
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MeSH Terms
Cardiopulmonary Resuscitation / methods*
Consumer Participation*
Emergency Medical Services
Heart Arrest / therapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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